Active NPI
University Otolaryngology
- Otolaryngology Physician
- Southfield, MI
National Provider Identifier
1871618264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- UNIVERSITY OTOLARYNGOLOGY
- Practice address
- 27177 Lahser Rd
Suite 203
Southfield, MI 48034-4714 - Phone
- (248) 357-4151
- NPI assigned
- Mar 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharon Branka
- Title
- Coordinator
- Phone
- (313) 745-1740
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
Primary practice location
27177 Lahser Rd
Suite 203
Southfield, MI 48034-4714
Mailing address
3800 Woodward Ave
Suite 600
Detroit, MI 48201-2061
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0H27877 | Other | MI | BCBSM GROUP NUMBER |
National Provider Directory
National Provider DirectoryLocations
4160 John R St
Ste 512
Detroit, MI 48201
Phone (313) 831-0960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1871618264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 WOODWARD AVE",
"address_2": "SUITE 600",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27177 LAHSER RD",
"address_2": "SUITE 203",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480344714",
"telephone_number": "248-357-4151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY OTOLARYNGOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BRANKA",
"authorized_official_first_name": "SHARON",
"authorized_official_title_or_position": "COORDINATOR",
"authorized_official_telephone_number": "313-745-1740"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM GROUP NUMBER",
"identifier": "0H27877",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
- Universal Hospice Care, Inc.
- Universal Palliative Care Services PLLC
- Universal Rehabilitation Services Inc
- University Allergy & Asthma Center PLLC
- University Neurosurgical Associates PC
- University Otolaryngology
- University Physician Group
- University Physician Group
- University Physician Group
- Unleash Your Authenticity Counseling LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.